Individual
MS. JAIME MOYNIHAN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120
(405) 749-4247
(405) 749-4249
Mailing address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120-9309
(405) 749-4247
(405) 749-4249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0092811
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200481470 A
—
OK
Enumeration date
07/02/2010
Last updated
05/16/2018
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